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ago and had ICNF (Intra Capsular Femoral Neck) fracture managed with a Dynamic
hip screw. His ROM of flexion, abduction and external rotation is severely reduced
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Lumbar canal stenosis with claudication and treated conservatively. She is married
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!11111111111111111111111111111 1, 51 41 1
Winter 3
Fcrth B.P.Th, (2012) Examination, 016
MUSCULOSKELETAL PHYSIOTHERAPY
SECTION - NB
SECTION - A
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SECTION — B
(LAO) (30 Marks)
a) 45 year old government bank officer sustained fracture of shaft of humerus on right
side 2 months back which was treated with open reduction internal fixation. At the
ti me of injury, radial nerve was also injured because of which he had developed
wrist drop. Currently patient has come for physiotherapy with the complains of
shoulder and elbow stiffness and wrist drop.
i) Write his functional diagnosis with clinical reasoning.
ii) Short term and long term goals.
iii) PT management.
b) 25 year old football player underwent ACL reconstruction with patellar tendon graft
Rt side, 3 weeks back. Currently he is complaining of pain, swelling over his knee
and oedema over the dorsum of foot. He has been advised Physiotherapy.
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ii) Short term goals with appropriate precautions and contraindications and long
term goals.
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iii) PT management.
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a) A 38 year old male working as software professional complains of pain on the left
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side of his neck radiating to left forearm since last 2 months. Pain On VAS is 3/10
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at rest and 7/10 on extension, rotation & lateral flexion causing restriction of these
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ranges. It aggravates at the end of the day. Describe the special tests that you will
perform for diagnosis. Add a note on Physiotherapy management.
b) A 49 yr. old driver comes with Right Periarthritis Shoulder. Patient is diabetic since
5 years. Plan short & long term goals and Physiotherapy Management for the
patient.
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SECTION — A
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a) Explain Q angle.
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e) Causes of PIVD.
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is not settled yet. She is in private room of hospital with 24 hr. nursing care. There is
no other significant past medical history. Her family members are very supportive.
Based on the above information,
Explain Functional diagnosis.
Physiotherapy management_
pain in left lower limb on posterolateral aspect over last six months. Now pain is
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8/10 on VAS, weakness of EHL, and he is unable work due to pain thus depends
on his son for daily expenditure. His wife is caring and encourages him for regular
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treatment with physician. Discuss the functional diagnosis with clinical reasoning.
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Write in detail the short term and long term goals along with the physiotherapy
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management.
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b) A 50 yr. old housewife taking regular treatment at charitable polyclinic near to her
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house since last three months. Her chief complaint is pain in her neck which is
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radiating in upper limb since last 3 months, reduced strength of left grip. On
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examination she is having forward head posture. Extension is painful & Upper
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li mb tension test for median nerve is positive. She is worried due to her condition
and management of daily work at home.
Explain the functional diagnosis.
Plan her short term and long term goals along with physiotherapy management.
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(SAQ)
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b) Compartment syndrome.
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c) Physiotherapy management for total hip replacement.
b) A 35 year old married woman who has two children studying in primary school has
been referred to physical therapy by her rheumatologist . She is a teacher by
occupation and works about 40 hours a week. Discuss the physiotherapy
management with special emphasis on the joint protection techniques.
a) Discuss in detail the clinical features and physiotherapy management for carpal
tunnel syndrome.
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b) Discuss the clinical features and physiotherapy management for patients suffering
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SECTION-A& SECTION -B
Instructions : 1) Use blue/black ball point pen only.
2) Do not write anything . on the blank portion of the question paper.
If written anything, such type of act will be considered as an
attempt to resort_to unfair means.
3) All questions are compulsory.
4) The number to the right indicates full marks.
5) Draw diagrams wherever necessary.
6) Distribution of syllabus in Question Paper is only meant to cover
entire syllabus within the stipulated frame. The Question paper
pattern is a mere guideline. Questions can be asked from any
paper's syllabus into any question paper. Students cannot claim
that the Question is out of syllabus. As it is only for the placement
sake, the distribution has been done.
7) Use a common answerbook for all Sections.
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(SAQ)
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f) De Quervain's Tenosynovitis.
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b) 35 years old male, officer in a Government bank complains of pain in low back
region which aggravates on bed mobility and other transitions. He complains of
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morning stiffness which lasts for more than 30 minutes and gets relieved with
activity. His HLA- B27 test shows positive result. He is referred to physiotherapy
Dept. Write aboth
i) Functional diagnosis with clinical reasoning
ii) Short= term goals in detail
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a) A 45 yr. old house-maid comes with difficulty. in performing ADL's and pain in the
. Rt Shoulder following Rotator Cuff Injury. Give the Functional Diagnosis, Plan
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short term and long term goals and Physiotherapy Management for the same.
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(5+5+5)
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b) A 49 yr old car mechanic is operated for Right Total knee replacement following
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chronic OA knee. Give the Functional Diagnosis, Plan short & long term goals and
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SECTIONA&SECTION-B
Instruc tions: 1) Use blue/black ball point pen ony
2)Do not write anything on the blank portion of the question paper
f wntten anything, such type of act will be considered as an atempt
to resort to unfair means
3) All questions are compulsory
number to the
4The right indicates full marks
Draw diagrams wherever necessary
6) Distribution of syllabus in Question Paper is ornly meant to cover
entire syllabus within the stipulated frame The Question paper
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1. Short answer
question (any five 5 x3 151
out
of six):
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d) State principles
of Mulligan'sMobilization
e) State any two differences between somatie referred
pain and radicular
pain
) Define "Dystunction Syndrome" of Mckenzie.
N-261 PT.O
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51411
e out of six)
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2
Shart
arna er que interventions Tor a palient with total knee
a ) D i s c u s s piystotherapy
minimuim pr0eetion phase
in the
placemietnl aruhroplasty
with rationale tor a Putient with "Forward
b) Discuss exercise program
Head Posture"
c) PTmanagemeni of tlexor tendon injury
a with low back pain.
d) Discuss pain relieving modalities for patient
Maitland's joint mobilisation wth reference to three stages of
c) Explain
tissue heang
Explain tmportance
ot
restoring pronation and supination movements
required during gait cycles.
department. His pain rated on VAS IS D/T0 1n the low back radiating to
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the (Rt) lower limb up to the thigh only with torward bending activity.
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investigations show prolapse intervertbral disc atL4 and L.S level indenting
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L4 nerve ro0t. lHe also has a sway back posture. SLR test is negative He
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IS married and has two daughters and sole carming member of the family.
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State
mobility impairments.Plan short
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term & long term goals. Discuss exercise program and ergonomics for
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IS*5+5
b) 40 year old Sudha,is a widow, working as tailor, comes with a complaint
ofpain in the joints of finger and hand bilaterally especialy during morning
hours since I month. There is
wamth and swelling
present
joints and she has painful ROM. VAS is 6/10 and has weak grip. On
around the
abnorimal bone erosion is seen and is diagnosed as Kheumatoid
Aray,
Arthritis. She lives alone with her son who is a student.
Based on the above information, State Disability as per ICF. Discuss
short terim and long term goals with interventions.
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4. Long answer question (any one out ot two). 1 *
15 15
a) Soham is 24 years old state level bowler and
bank working
ny sionetapy OPD ith a complaint of shoulder pain. Tis pain n
in a
comesvAsto
s Hs unterior
10. apprehension
and test relocation test
Jobe s Canie
positive. Rotator cutt muscies are weak and scapula stabilizers are weak.
Because o1 these he has not
played for 1 month and worried tor his
practice.
to her
activity limitation. State environmental factors affecting her
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SECTION-A&SECTION-B
Instructions: 1) Use blue/black ball point pen only
2)
2) Do not write anything on the blank portion of the question paper.
f written anything, such type of act will be
considered as an attempt
to resort to unfair means.
3)
3) All questions are compulsory.
4) The number to the right indicates full marks.
5)5) Draw diagrams wherever necessary.
meant to cover
6) Distribution of syllabus in Question Paper is only
The Question paper
entire syllabus within the stipulated frame.
be asked from any
pattern is a mere guideline. Questions
can
Students cannot claim
paper's syllabus into any question paper.
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sake,
Use a common answerbook for all sections.
7)
7)
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a)Reciprocalinhibition.
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) Discuss short tem & long term goals and physiotherapy management
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d) Discuss the different grades of Maitland mobilization technique with
respect to joint reactivity and stage of tissue
healing
e) Discuss assessment and Physiotherapy management for left thoracic
postural scoliosis.
) Differentiate between neurogenic and vascular claudication.
. Long answer question (any one out of two) [1x 15= 15]
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b)A 30 year old machine operator, met with an accident while working in
ice factory. He is operated for FTI (zone 2) middle two fingers 1 week
back. Discuss ICF along with physiotherapy management with clinical
reasoning 5+10
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